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Gladys Shade, QMHP, LCSW

NPI 1114137494 · on the registry since 2007

Practice

Address: 1890 Waite St
Suite 1
North Bend, OR 97459
Phone: (541) 756-6232
Fax: (541) 756-6234
Organisation at this address: Waterfall Community Pharmacy
Waterfall Clinic Incorporated
Waterfall Clinic Incorporated
Waterfall Clinic, Incorporated
Waterfall Clinic, Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 41

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon